Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $5,797.00 / $11,624.00	Facility		$769.00	$5,797.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $245.20 / $293.27	Professional		$147.12	$245.20	$293.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $715.00	Facility		$323.00	$323.00	$715.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.46 / $386.46 / $386.46	Professional		$386.46	$386.46	$386.46
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $169.73 / $242.30	Professional		$102.03	$169.73	$242.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $456.11	Professional		$50.00	$50.00	$456.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $242.30 / $457.07	Professional		$174.46	$242.30	$457.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $235.16 / $235.16	Professional		$235.16	$235.16	$235.16